. ' HEAD & NECK ANATOMY I. Deep investing layer of cervical fascia splits to enclose: A. Sternocleidomastoid B. Trapezius C. Parotid gland D. Omohyoid 2. Regarding the prevertebral fascia, the following is INCORRECT: A. Cervical nerve roots, cervical plexus, trunks of the brachial plexus & subclavian vessels lie deep to the prevertebral fascia B. It is pierced by the great auricular, lesser occipital, transverse cervical & supraclavicular nerves C. It is part of the floor of the posterior triangle D. Accessory nerve & cervical lymph nodes lie superficial to it E. Its lower extent reaches T3 level 3. Regarding sternocleidomastoid: A. external jugular vein lies between its 2 heads B. accessory nerve emerges 12 way down its posterior border C. cervical plexus emerges at its anterior border D. cords of the brachial plexus liedeep to its lower 12 E. its anterior border forms the anterior border of posterior triangle. 4. Boundaries of posterior triangle include the following EXCEPT: A. superior nuchal line B. posterior border of sternocleidomastoid C. anterior border of trapezius D. medial 12 of clavicle 5. Regarding cervical plexus: A. it gives proprioceptive fibers to trapezius & sternocleidomastoid B. ansa cervicalis contains C 1-3 fibers C. phrenic nerve most commonly passes behind the subclavian vein D. CI has no cutaneous brance 6. Strap muscles include the following EXCEPT: A. thyrohyoid B. omohyoid C. sternohyoid D. geniohyoid E. sternothyroid HEAD & NECK ANATOMY - MCQ
7.The following muscle has a dual nerve supply A. Mylohyoid B. Geniohyoid C. Digastric D. Stylohyoid 8. Regarding thyroid gland, the following is INCORRECT: A. Medial relations include the cricothyroid & inferior constrictors B. Supplied by the recurrent laryngeal nerve C. Thyroidea ima artery occurs in 3% of population D. Thyroid veins run different course to the thyroid arteries E. Lymphatic drainage to deep cervical lymph node, postero-inferior lymph nodes & pretracheal lymph nodes. 9. Relations of common carotid artery: A. Sympathetic trunk lies posterior to the artery outside the sheath B. Lateral parts of thyroid lies posterior to the artery C. External jugular vein lies lateral to the artery within the sheath D. Phrenic nerve lies anterior to the artery 10. Ansa cervacilis: A. Its loop lies anterior to the internal jugular vein B. It lies within the carotid sheath C. Supply sternohyoid, omohyoid & sternothyroid D. Contains Cl-3 fibers 11. Submandibular lymph node drains the following EXCEPT: A. All of upper lip & lateral parts of lower lip B. Anterior 2/3 of tongue including the tip C. Frontal sinus, anterior & middle ethmoidal sinuses & maxillary sinus D. External nose E. All the teeth except the lower incisors 12. Superior cervical ganglion: A. lies at the level Cl & C2 B. gives grey rami to Cl&2 anterior rami only C. contributes to ansa subcalvia D. gives branch to subclavian artery HEAD & NECK ANATOMY - MCQ 2
13. Regarding Subclavian artery: A. it is divided into 3 parts by scalene medius B. internal thoracic artery is given off at its 2n d part c. ansa subclavia & L recurrent laryngeal nerve loops around it D. its thyrocervical branch gives off inferior thyroid artery, transverse cervical & suprascapular artery E. it lies posterior to prevertebral fascia throughout its whole course. 14. Facial nerve: A. gives no branch before entering the parotid gland B. mandibular branch is crossed by facial artery & vein at the inferior border of mandible C. zygomatic & temporal branch is endangered in fractures of the zygoma D. gives motor & proprioceptive supply to facial muscles are true 15. Skin over the zygomatic arch is supplied by: A. Zygomatic branch of facial nerve B. Ophthalmic branch of trigeminal nerve C. Maxillary branch of trigeminal nerve D. Mandibular branch of trigeminal nerve E. None of the above 16. Regarding External carotid artery: A. It arise from the bifurication of common carotid artery at C2 level B. Tonsils are supplied by its facial branch C. It anastomose with the internal carotid artery by their branch to the pharynx D. All of the above E. None of the above 17. Regarding scalp injury, which of the following is FALSE? A. Subperiosteal hematoma outlines the limit of the skull bone concerned. B. Bleeding in the subaponeurotica area may result in "black eyes" C. Scalping occurs at the loose connective tissue layer D. Scalping may lead to necrosis of bones of the vault are false 18. Which of the following structures is NOT embedded within the parotid gland A. Internal carotid artery B. Facial nerve C. Retromandibular vein D. External carotid artery E. Preauricular nerve HEAD & NECK ANATOMY - MCQ 3
19.Which of the following is a content of the infratemporal fossa? A. Maxillary artery B. Pterygoid venous plexus C. Chorda tympani D. Mandibular nerve & otic ganglion 20. Regarding branches of maxillary artery: A. Inferior alveolar artery enters the mandibular foramen B. Middle meningeal artery enters foramen spinosum C. Accessory meningeal artery enters foramen ovale D. All of the above E. None of the above 21. The following branch of mandibular nerve supplies the Temporomandibular joint: A. nerve to medial pterygoid B. masseteric branch C. buccal nerve D. auriculotemporal nerve E. inferior alveolar nerve 22. The following structure does NOT pass between the external & internal carotid artery: A. stylophayrngeal muscle B. Pharyngeal branch of Vagus C. Hypoglossal nerve D. Glossopharnygeal nerve E. Pharnygeal branch of glossopharyngeal nerve 23. Regarding glossopharyngeal nerve: A. Tympanic branch gives sensory & parasympathetic supply to the middle ear & mastoid B. Lingual branch give sensory & secretomotor supply to posterior 2/3 of tongue C. Carotid sinus branch give sympathetic supply baroreceptors & chemoreceptors at the bifurication of carotid artery D. Pharyngeal branch give sensory supply to nasopharynx 24. Accessory nerve: A. is formed in the middle cranial fossa by union of its cervical & cranial roots B. passes through the anterior compartment of jugular foramen C. give motor & proprioceptive fibers to sternocleidomastoid & trapezious D. all its cranial fibers joins the vagus nerve are true HEAD & NECK ANATOMY - MCQ 4
25. Which of the following arise from the posterior compartment of the jugular forament? A. glossopharyngeal nerve B. vagus nerve C. accessory nerve D. hypoglossal nerve E. internal jugular vein 26. Submandibular lymph node does NOT drain: A. Maxillary sinus B. Sphenoidal sinus C. Ethmoidal sinus D. Frontal sinus 27. Which of the following is INCORRECT? A. Dorsum of the anterior 2/3 of the tongue has no glands B. Foramen cecum is the remnant of upper end of the thyroglossal duct C. Anterior 2/3 & posterior 113 of the tongue is separated by the palaoglossal arches D. Valleculae lies between the median & lateral glossoepiglottic fold 28. Which of the following is FALSE? A. Blood supply of the tongue is derived from an anterior branch of the external carotid artery B. There is no significant arterial anastomosis across the midline of the tongue C. Tumor at the right anterior 2/3 of the tongue may metastasize to both L & R submandibular lymph nodes D. Trigeminal component of lingual nerve gives both taste & common sensibility to anterior 2/3 of the tongue E. Glossopharyngeal nerve gives both taste & common sensibility to posterior 113 of the tongue 29. The following structure passes above the superior constrictor: A. Auditory tube B. Glossopharyngeal nerve C. Stylopharyngeal muscle D. Lingual nerve 30. Regarding the palatine tonsils: A. they are found between the palatoglossus & palatopharyngeal arches B. glossophamygeal nerve crosses the palatine tonsillar bed C. it is part of the Waldeyer's ring D. it is supplied by the facial artery HEAD & NECK ANATOMY - MCQ 5
31. Which of the following is FALSE? A. Piriform recess is another name for the valleculae B. Valleculae is supplied by the intemal laryngeal nerve C. Posterior wall of hypopharynx is also called the dehiscence of Killian D. Lymphatics of the pharynx passes to jugulodigastric lymph node 32. Abduction of the vocal cord is conferred by the contraction of: A. Oblique arytenoid B. Transverse arytenoid c. Posterior cricoarytenoid D. Lateral cricoarytenoid E. Vocalis 33. Afferent supply in cough reflex is conferred by: A. glossopharyngeal nerve B. vagus nerve C. both glossopharyngeal & vagus nerve D. none of the above 34. Regarding the upper!h of larynx, the following is INCORRECT: A. Arterial supply = superior laryngeal artery B. Nerve supply of mucous membrane = recurrent laryngeal nerve C. Lymphatic drainage = upper group of deep cervical lymph nodes D. All of the above is false is true 35. The medial wall of the orbit does NOT include: A. frontal process of maxilla B. orbital plate of ethmoid C. body of shpenoid D. lesser wing of sphenoid 36. The following extraocular muscle does NOT arise from the tendinous ring: A. superior rectus B. medial rectus C. superior oblique D. lateral rectus E. inferior oblique HEAD & NECK ANATOMY - MCQ 6
37. Regarding the optic nerve, the following is NOT true: A. It is supplied entirely by the central artery of retina B. It is surrounded by arachnoid mater in its intraorbital course C. The ciliary ganglion is related to it laterally 113 way from the optic canal D. It is crossed by the ophtalmic artery, nasociliary nerve & superior ophthalmic vein 38. Regarding the orbit: A. trochlear nerve passes through the superior orbital fissure above the tendinous ring B. ciliary ganglion arise form the nerve to internal oblique C. nasociliary nerve passes through the tendinous ring along with the ophthalmic artery D. frontal nerve is the largest branch of the ophthalmic division of the trigeminal nerve are true 39. In third nerve palsy, the following are true EXCEPT: A. eye look down & out B. ptosis C. dilated pupil D. lack of corneal reflex 40. Regarding the temporomandibular joint, the following is FALSE: A. it is an atypical synovial joint B. it has a complete fibrocartilaginous disc that separates the TMJ into 2 compartments C. posterior dislocation is more common than anterior dislocation D. joint capsule is lax 41. Which muscle is responsible for depression of the mandible A. lateral pterygoid B. medial pterygoid C. masseter D. temporalis 42. Which of the following does NOT supplyt he dura mater in the cranial fossae? A. opthalmic division of trigeminal nerve B. maxillary division of trigeminal nerve C. mandibular division of trigeminal nerve D. glossopharyngeal nerve E. vagus nerve HEAD & NECK ANATOMY - MCQ 7
43. Dural venous sinuses: A. All lie between the inner & outer layer of dura B. They drain venous blood from brain & adjacent bone (except straight & inferior sagittal sinus) C. They contain valves D. They do not communicate with the veins outside the skull E. They drain to the internal jugular vein by gravity 44. Together with internal carotid artery, which cranial nerve lies WITHIN the cavernous sinus? A. Oculomotor nerve B. Trochlear nerve C. Opthalmic nerve D. Maxillary nerve E. Abducens nerve 45. Effect of the ruptured anterior branch of middle meningeal artery may include: A. contralateral hemiparesis B. ipsilateral dilated pupil C. ischemic occipital infarct D. all of the above E. none of the above ANSWERS: l. E 11. B 21. B 31. A 41. A 2. A 12. A 22. C 32.C 42.C 3. B 13. D 23. A 33. C 43. B 4. D 14. C 24. D 34.B 44. E 5. E 15. C 25.E 35. D 45.D 6. D 16. B 26. B 36. C 7. C 17. D 27. C 37. A 8. B 18. A 28. D 38. E 9. A 19. E 29. A 39. D 10. E 20. D 30. E 40. C HEAD & NECK ANATOMY - MCQ 8